Horizons Care Limited

Medicine management required improvement to ensure people received medicines as prescribed.

Oversight of the service required improvement. We found no evidence of systems and processes being in place to audit records or check all information was up to date, factual and relevant.

People's needs were assessed before they started to use the service. Care plans held information regarding people's needs, likes and dislikes. However, care plans required more person centred information within them to support new staff to understand and get to know people and their needs.

People were supported by staff who knew them well and were kind and caring. Staff received training to ensure they had the skills and knowledge to support people.

People were supported with any communication needs they have. Care plans included how a person communicated and any aids that were required to facilitate effective communication.

People were protected against abuse. Policies and procedures were in place and staff were trained and understood how to recognise and report any potential abuse. Injuries were recorded and actions taken when appropriate.

Staff felt supported by the registered manager and were able to raise any concerns they may have. Staff told us the registered manager listened to them and they felt valued at work.

People had their health needs met as required. Staff supported people to access health appointments or shared information with their relatives for them to arrange any appointments or referrals, when appropriate.

People and relatives were positive about staff that supported them and regarding the management of the service

People were supported to have maximum choice and control of their lives and staff supported them in the

least restrictive way possible and in their best interests. Policies and systems in the service supported this practice.

Staff worked well with professionals from other agencies such as other care agencies, district nurses, speech and language therapists and GP's.